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[
{
"fields": [],
"type": "FreeText",
"sideName": "Text",
"content": "<h1 class=\"ql-align-center\">Dog License Application</h1><p class=\"ql-align-center\"><br></p><p class=\"ql-align-center\">Dogs must be registered in the city before April 1st each year</p><p class=\"ql-align-center\">Please fill out this form</p>"
},
{
"fields": [
{
"sideName": "Text Field",
"label": "Owner First Name",
"type": "FormText",
"required": true,
"help": "",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": true,
"isPrimaryLast": false,
"key": 2
},
{
"sideName": "Text Field",
"label": "Middle Initial",
"type": "FormText",
"required": false,
"help": "",
"colSize": "2",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 29
},
{
"sideName": "Text Field",
"label": "Owner Last Name",
"type": "FormText",
"required": true,
"help": "",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": true,
"key": 1
}
],
"type": "Row",
"sideName": "Row"
},
{
"fields": [
{
"sideName": "Text Field",
"label": "Residential Address (required)",
"type": "FormText",
"required": true,
"help": "",
"colSize": "10",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 4
},
{
"sideName": "Text Field",
"label": "Apt #",
"type": "FormText",
"required": false,
"help": "",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 5
}
],
"type": "Row",
"sideName": "Row"
},
{
"fields": [
{
"sideName": "Email",
"label": "Email Address",
"type": "FormEmail",
"required": true,
"colSize": "Auto",
"isPrimary": true,
"help": "This is the email that we will use to contact you",
"key": 13
},
{
"sideName": "Email",
"label": "Secondary Email",
"type": "FormEmail",
"required": false,
"colSize": "Auto",
"isPrimary": false,
"help": "This is in case we cannot reach you via phone or your primary email",
"key": 23
}
],
"type": "Row",
"sideName": "Row"
},
{
"fields": [
{
"sideName": "Text Field",
"label": "City",
"type": "FormText",
"required": false,
"help": "",
"colSize": "6",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 7
},
{
"sideName": "Text Field",
"label": "State",
"type": "FormText",
"required": false,
"help": "",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 6
},
{
"sideName": "Text Field",
"label": "Zip",
"type": "FormText",
"required": false,
"help": "",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 8
}
],
"type": "Row",
"sideName": "Row"
},
{
"fields": [
{
"sideName": "Phone",
"label": "Home Phone Phone",
"type": "FormPhone",
"required": true,
"isPrimary": true,
"colSize": "Auto",
"help": "",
"key": 10
},
{
"sideName": "Phone",
"label": "Work Phone",
"type": "FormPhone",
"required": false,
"isPrimary": false,
"colSize": "Auto",
"help": "",
"key": 11
},
{
"sideName": "Phone",
"label": "Alternate Phone",
"type": "FormPhone",
"required": false,
"isPrimary": false,
"colSize": "Auto",
"help": "",
"key": 9
}
],
"type": "Row",
"sideName": "Row"
},
{
"fields": [
{
"sideName": "Text Field",
"label": "Dog Primary/Secondary Breed",
"type": "FormText",
"required": false,
"help": "If unknown, list breed most resembles",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 14
},
{
"sideName": "Select",
"label": "Sex",
"type": "FormSelect",
"multiple": false,
"options": [
{
"name": "Male",
"price": 0,
"alias": "",
"quantity": 1
},
{
"name": "Female",
"price": 0,
"alias": "",
"quantity": 1
}
],
"colSize": "Auto",
"required": false,
"placeholder": "-- Select an Option --",
"key": 15,
"isPriced": false
},
{
"sideName": "Checkbox",
"label": "",
"type": "FormCheckbox",
"multiple": true,
"inline": false,
"options": [
{
"name": "Altered",
"price": 0,
"alias": "",
"quantity": 1
},
{
"name": "Unaltered",
"price": 0,
"alias": "",
"quantity": 1
}
],
"colSize": "Auto",
"required": false,
"key": 17,
"isPriced": false
}
],
"type": "Row",
"sideName": "Row"
},
{
"fields": [
{
"sideName": "Text Field",
"label": "Dog Name",
"type": "FormText",
"required": false,
"help": "",
"colSize": "4",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 18
},
{
"sideName": "Text Field",
"label": "Color(s)",
"type": "FormText",
"required": false,
"help": "",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 20
},
{
"sideName": "Text Field",
"label": "Weight (Lbs)",
"type": "FormText",
"required": false,
"help": "",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 21
},
{
"sideName": "Text Field",
"label": "Age/Birthdate",
"type": "FormText",
"required": false,
"help": "",
"colSize": "Auto",
"placeholder": "",
"isPrimaryFirst": false,
"isPrimaryLast": false,
"key": 19
}
],
"type": "Row",
"sideName": "Row"
},
{
"fields": [
{
"sideName": "File",
"label": "Proof of Companionship",
"type": "FormFile",
"required": false,
"multiple": true,
"help": "",
"colSize": "6",
"key": 25
},
{
"sideName": "File",
"label": "Vaccination Records",
"type": "FormFile",
"required": false,
"multiple": true,
"help": "Please the most recent copy of your dog's vaccination records",
"colSize": "6",
"key": 22
}
],
"type": "Row",
"sideName": "Row"
}
]